|Número de publicación||US5171255 A|
|Tipo de publicación||Concesión|
|Número de solicitud||US 07/774,892|
|Fecha de publicación||15 Dic 1992|
|Fecha de presentación||11 Oct 1991|
|Fecha de prioridad||21 Nov 1990|
|Número de publicación||07774892, 774892, US 5171255 A, US 5171255A, US-A-5171255, US5171255 A, US5171255A|
|Inventores||Mark A. Rydell|
|Cesionario original||Everest Medical Corporation|
|Exportar cita||BiBTeX, EndNote, RefMan|
|Citas de patentes (8), Citada por (139), Clasificaciones (18), Eventos legales (12)|
|Enlaces externos: USPTO, Cesión de USPTO, Espacenet|
This application is a continuation of application Ser. No. 07/616,562, filed Nov. 21, 1990, now U.S. Pat. No. 5,085,659.
I. Field of the Invention
This invention relates generally to tissue biopsy apparatus, and more particularly to a biopsy instrument which may be used in combination with an endoscope for excising suspicious tissue samples from an interior wall of an internal organ and which incorporates a pair of bipolar electrodes at the distal end thereof for subsequently coagulating bleeding blood vessels following excision of the tissue sample.
Discussion of the Prior Art
The prior art device over which the present invention is deemed to be an improvement comprises an elongated tube having a reciprocally moveable control rod extending through the lumen thereof and affixed at its distal end are tiny clamshell-like tongs which can be made to open and close when a lever mechanism at the proximal end of the elongated tube is manipulated. The device is dimensioned to pass through an endoscope and, in use, the clamshell tongs, in their open disposition, are made to approach the vessel wall in a perpendicular direction at the location where the tissue sample is to be excised. Then, by manipulating the handle at the proximal end of the instrument, the tongs are made to close on the sample which is pinched and partially cut by the edges of the clamshell tongs. As skilled surgeons will appreciate, when a vessel wall is approached from the perpendicular direction, the chances for perforation of that vessel wall are considerably greater than when the approach is made at a 0° angle relative to the wall.
The prior art instrument over which the present invention is deemed to be an improvement also provides, it is monopolar, thereby requiring a large area body electrode positioned at a location on the skin surface quite remote from the site of the biopsy. The coagulating current is applied between the clamshell tip on the biopsy instrument and the body plate and, again, the risk of perforation is increased by virtue of the monopolar electrode configuration employed.
Another drawback of the above-described prior art biopsy instrument is that the tissue sample is held between the closed clamshell halves and during electrocautery, the sample may be destroyed by the high temperatures to which it is exposed. This may preclude a pathologist from accurately determining the nature of the cells contained in the excised sample.
The prior art instrument can only be used to remove a single sample from the vessel wall without having to first remove the instrument from the endoscope and then reinsert it to gather a second sample. This is due to the fact that after a first sample is excised and held in the jaws of the clamshell, it will be lost when the clamshell is reopened in an attempt to excise the second sample.
The linkage mechanism affixed to the distal end of the elongated tube for operating the clamshell halves is difficult to assemble which significantly increases the cost of the instrument. In fact, the cost is too high to allow the instrument to be considered as a practical single-use or disposable instrument.
It is accordingly an object of the present invention to provide an improved biopsy instrument for excising tissue samples from the interior wall of a hollow body organ;
Another object of the invention is to provide a biopsy device of the type described which includes a mean for coagulating blood at the site of the excision.
A further object of the invention is to provide an improved biopsy device for excising tissue samples from the interior wall of a hollow body organ where the tissue sample is approach at a 0° angle relative to the wall surface on which the sample is growing.
Another object of the invention is to provide an improved biopsy instrument of the type described in which a bipolar electrode system is used for coagulation.
Still another object of the invention is to provide a biopsy instrument for removing tissue samples from the interior wall of a hollow body organ and which includes bipolar electrocautery electrodes configured such that the heat produced for coagulation does not destroy the tissue sample.
Yet another object of the invention is to provide an improved biopsy instrument which may be introduced through an endoscope and used to successively remove one or more tissue samples from the interior wall of a hollow body organ without having to retract the instrument from the endoscope between each sample.
A yet further object of the invention is to provide an improved biopsy device for removing tissue samples from a hollow internal organ which is sufficiently simple in its construction so as to be disposable from an economic standpoint.
The foregoing objects and advantages of the invention are achieved by providing a biopsy instrument comprising an elongated tube having a proximal end, a distal end and a lumen extending therebetween, the outside diameter of the tube being sufficiently small to readily pass through an endoscope. Extending through the lumen of the tube is a first wire or rod which is reciprocally moveable and a second wire which remains stationary. The stationary wire is connected at its distal end to an annular cutter in the form of a tubular ring or sleeve made from stainless steel or another suitable metal. The distal edge of the cutter is honed to the sharpness of a surgical scalpel. Fitted onto the distal end of the reciprocally moveable wire or rod is an insulating anvil whose outside dimension allows it to fit within the central opening in the annular cutter with a close tolerance. The anvil terminates in a conductive metal dome. This dome is electrically joined to the reciprocally moveable wire or rod and forms, with the conductive cutter, a pair of bipolar electrodes. When the biopsy device is inserted through an endoscope and allowed to project out its distal end, the anvil is initially in its retracted condition relative to the cutter and, hence, the sharpened edge of the cutter is shielded to prevent inadvertent cutting of tissue. As the surgical field is viewed through the endoscope, the ring cutter is positioned just proximal of the tissue sample and then the handle is manipulated to extend the anvil distal of the sample. When so positioned, the handle is then manipulated to draw the anvil back against and into the cutter, shearing off the tissue sample and storing it within the annular cutter. Any bleeding caused by the cutting can now be coagulated by applying a RF voltage across the bipolar electrodes (the ring and metal dome) while moving the instrument back and forth across the site of the excision.
The foregoing features, objects and advantages of the invention will become apparent to those skilled in the art from the following detailed description of a preferred embodiment, especially when considered in conjunction with the accompanying drawings in which like numerals in the several views refer to corresponding parts.
FIG. 1 is a perspective view of the biopsy instrument in accordance with the present invention;
FIG. 2 is a greatly enlarged cross-sectional view of the distal end portion of the instrument of FIG. 1 with the anvil extended; and
FIG. 3 is a greatly enlarged cross-sectional view of the distal end portion of the instrument of FIG. 1 with the anvil member shown retracted into the cutting sleeve.
FIGS. 4 and 5 are a partial cross-sectional view of the distal end portion of the biopsy device in accordance with an alternative embodiment, and
Referring to FIG. 1, there is shown a perspective view of a biopsy device primarily intended for use in the gastrointestinal tract for gathering tissue samples for later pathological examination. The device is indicated generally by numeral 10 and is seen to include an elongated flexible plastic tube or sheath 12 having a proximal end 14, a distal end 16 and a lumen 18 running therebetween. The proximal end of the tube 12 is affixed to a stationary portion 20 of a handle assembly 22. The handle 22 preferably comprises a device as is set forth in applicant's co-pending application Ser. No. 590,783, filed Oct. 1, 1990 and entitled "IMPROVED HANDLE FOR POLYPECTOME SNARE WITH BIPOLAR ELECTRODES" now Pat. No. 5,026,311. As is explained in that application, the handle device includes a longitudinally displaceable slide block disposed in a longitudinal slot formed in the stationary member 20, the slide block being attached to a transversely extending wing member 24 having two finger receiving openings 26 formed therein. Also affixed to the stationary member 20 is a thumb-receiving ring 28 which allows the physician to readily grasp the handle and manipulate the slide 24 back and forth in the longitudinal direction.
As can also be seen in FIG. 1, and perhaps more clearly in the enlarged distal end views of FIGS. 2 and 3, there is affixed to the distal end of the tube 12 a metal ring or sleeve 30 which is beveled at its distal edge 32 to form a sharp cutting edge. To facilitate the attachment of the metal sleeve 30 to the distal end 16 of the tube 12, it has been found convenient to provide an insulating plug 34 which may be fabricated from a suitable plastic, such as medical-grade polysulfone. Alternatively, the plug 34 may be formed from a ceramic, such as aluminum oxide or other ceramic. The plug 34 is fitted into the distal end of the tube and held in place by a suitable adhesive. The metal sleeve 30 may then be crimped or adhesively bonded onto a portion of the plug 34 extending outward from the distal end 16 of the tube 12.
Extending through the lumen 18 of the device 10 is an elongated rod or conductor 36 whose proximal end is fitted into the slide block of the handle assembly 22 in the manner disclosed in the above-captioned pending application and whose distal end extends through a longitudinal bore 38 formed in the plug 34. When the member 24 is advanced in the distal direction, the end of the rod 36 projects in the distal direction beyond the beveled edge 32 of the sleeve 30. Secured to the distal end portion of the rod 36 is an insulative (plastic or ceramic) anvil member 40 whose outer diameter is only slightly less than the internal diameter of the metal sleeve 30. The proximal end of the anvil member 40 is preferably beveled as at 42 to facilitate its entrance into the sleeve 30 when the slide assembly 24 is moved in the proximal direction (see FIG. 3).
Bonded or otherwise affixed to the forward or distal end of the anvil 40 is a dome-shaped metal electrode 44. As is apparent from the enlarged views of FIGS. 2 and 3, the metal electrode member 44 is in electrical contact with the rod 36 which extends the length of the tubular member 12. A short length of insulation 46 covers the rod 36 at a location just proximal of the anvil member 40 and, in practice, may either comprise an insulating coating directly on the wire 36 or a piece of heat-shrink tubing whose outside diameter is larger than that of the bore 38 formed in the plug 34. The length of the insulating member 46 allows a portion of the anvil 40 to slide into the sleeve 30 while still acting as a stop to prevent the anvil from totally entering the sleeve 30 and abutting the front face of the plug 34.
It is also to be noted in FIGS. 2 and 3 that the plug 34 includes a further bore or passageway 48 extending longitudinally therethrough. This passage is intended to allow a fluid, e.g., pressurized air or a liquid injected through a flushing port 50 in the handle assembly 22 and flowing through the lumen 18 of the tube 12 to dislodge a collected tissue sample, all as will be further described hereinbelow.
A conductive wire 52 extends through the lumen 18 of the tube 12 and is electrically connected at its distal end, at 54, to the metal sleeve 30. Connected to the proximal end of the wire 52 and the conductive rod 36 is an electrical lead 56 which enters the handle assembly 22 and has its wires crimped to the conductors 52 and 36 in the manner described in the aforereferenced application. The leads 56 include plug-type connectors 58 allowing the biopsy instrument of the present invention to be connected to an electrosurgical generator whereby a predetermined RF voltage may be applied. A suitable electrosurgical generator for use with the biopsy instrument of the present invention is disclosed in the Stasz et al. U.S. Pat. No. 4,903,696.
For purposes of example only and with no limitation intended, the tube 12 may be formed from a variety of plastic materials, including polyethylene, polyester, Teflon®, etc. The tubing 12 may have an outside diameter of 0.090 in. and an internal diameter of 0.060 in. The sleeve 30 may be formed from 13 gauge stainless steel tubing and, as such, will have an outside diameter of 0.091 in. and an internal diameter of 0.081 in. The length of the sleeve 30 may be about 0.015 in. The plug 34 may have a diameter of 0.065 in. for that portion thereof which fits into the tube 12. The portion supporting the sleeve 30 will preferably have an outside diameter of 0.080 in., allowing it to fit within the sleeve 30. The bore 38 for accommodating the rod 36 may be 0.0145 in. diameter.
The portion of the anvil 40 adapted to fit within the sleeve 30 may be approximately 0.065 in. in length and will have an O.D. of 0.078 in. A 10° bevel on the proximal edge facilitates its ability to fit within the sleeve 30 when the handle assembly 22 is appropriately manipulated. The length of the insulator 46 should be 0.062 in. with the dimensions of the other parts as previously indicated.
Having described the physical features of the biopsy instrument of the present invention, consideration will next be given to its mode of use.
The instrument 10 of the present invention, when used to remove and capture immature polyps on the internal wall of the colon, will be inserted through the lumen of a viewing endoscope and advanced to the location of the immature polyp. Once so positioned, the surgeon will manipulate the handle 22 by advancing the slide 24 in the distal direction, causing the anvil and its attached electrodes 40-44 to move out of the sleeve 30 and across the tissue sample 60 (FIG. 2). The beveled end 32 of the ring-shaped cutter 30 will remain proximal of the tissue sample 60 to be removed. Once the anvil and sleeve are appropriately positioned as indicated, the physician will move the slide 24 in the proximal direction, tensioning the rod 36 and pulling the anvil 40 toward and against the sharpened edge 32 of the sleeve 30. The tissue sample 60 will be forced against the sharp cutting edge and excised. As the anvil is retracted into the sleeve, the tissue sample will also be drawn into the sleeve and captured there. Any remaining polypoid tissue can be eradicated, and bleeding caused by the excision of the tissue sample can now be coagulated by activating the electrosurgical generator and applying an RF voltage across the leads 56 which connect to the conductors 36 and 52 leading to the movable electrode 44 and the stationary cutter sleeve 30, respectively. The sleeve along with electrode 44 form a bipolar pair and when the gap 62 between the two is wiped across bleeding blood vessels, coagulation and hemostasis takes place. Because the insulator 46 surrounds the rod 36, the tissue sample 60 is prevented from touching both the sleeve 30 and the rod 36 during cauterization and, hence, is not exposed to the RF voltage which might otherwise destroy the sample.
In that the tissue sample is firmly contained within the central opening of the ring cutter, the instrument can be repositioned relative to another sample and the removal/ cauterization steps repeated. Hence multiple samples can be gathered before extracting the instrument 10 from the endoscope.
The instrument can now be withdrawn from the endoscope and with the slide 24 pushed in the distal direction, the distal end of the sleeve 30 is no longer blocked. If the tissue sample 60 will not fall out with shaking, a syringe full of an appropriate fluid can be connected to the flushing port 50 on the handle assembly 22 and when squeezed, the pressurized fluid will flow through the lumen 18 of the instrument and through the bore 48 formed in the plug 34 to dislodge tissue sample 60 into an appropriate container.
Referring now to FIGS. 4 and 5, there is shown an alternative embodiment of the present invention. Rather than having the tubular cutting blade 30 mounted as the stationary member on the distal end of the flexible plastic tube 12 as in the embodiment of FIGS. 1 through 3, in this alternative arrangement, the metal tubular blade 64 is made movable while the anvil 66 is fixedly attached to the distal end 16 of the flexible tube 12. More particularly, the longitudinally movable rod 36 extends through a bore 68 formed in the anvil 66 and secured to the distal end of the rod is a metal disk 70. Surrounding the disk 70 and conductively joined thereto is the tubular blade 64 having its sharpened beveled edge 32 facing the anvil 66. The outside diameter of the anvil in the portion identified by numeral 71 is slightly less than the internal diameter of the sleeve 64 such that when the rod 36 is pulled in the proximate direction, the portion 70 will enter the sleeve with a close tolerance. It also includes a segment 72 of slightly larger diameter which thereby creates a shoulder stop to limit the extent to which the portion 71 may be inserted into the chamber or cavity within the sleeve 64.
Located just proximal of the segment 72 is a ring electrode 74 which is bonded or otherwise affixed to the anvil member 66. An elongated flexible conductor 52 extends through the lumen 18 of the tube 12 and through a bore formed in the anvil member 66 allowing the distal end thereof to be welded and, therefore, electrically joined to the ring electrode 74. A handle member like that shown in FIG. 1 will be attached to the proximal end of the tube 12 and appropriately attached to the rod 36 so that manipulation of the slide 24 relative to the member 20 will allow the metal sleeve 64 to be moved from the position shown in FIG. 4 to that shown in FIG. 5. In doing so, the tissue segment to be examined identified by the numeral 60 is sheared off by the honed edge 32 of the sleeve 64 and captured within the interior of that sleeve as shown in FIG. 5. Again, when cauterization is desired, an appropriate RF voltage is applied between the conductive rod 36 and the wire 52 causing an arc to form between the bipolar electrodes including the metal sleeve 64 and the ring electrode 74.
This invention has been described herein in considerable detail in order to comply with the Patent Statutes and to provide those skilled in the art with the information needed to apply the novel principles and to construct and use such specialized components as are required. However, it is to be understood that the invention can be carried out by specifically different equipment and devices, and that various modifications, both as to the equipment details and operating procedures, can be accomplished without departing from the scope of the invention itself.
|Patente citada||Fecha de presentación||Fecha de publicación||Solicitante||Título|
|US3173414 *||6 Mar 1962||16 Mar 1965||Levallois Optique Et Prec||Biopsy probe, and combination thereof with an endoscope|
|US3837345 *||31 Ago 1973||24 Sep 1974||A Matar||Venous valve snipper|
|US4669469 *||28 Feb 1986||2 Jun 1987||Devices For Vascular Intervention||Single lumen atherectomy catheter device|
|US4678459 *||23 Jul 1984||7 Jul 1987||E-Z-Em, Inc.||Irrigating, cutting and aspirating system for percutaneous surgery|
|US4950278 *||30 Ago 1989||21 Ago 1990||Sachse Hans E||Endoscope for removal of tissue|
|US4961430 *||28 Jul 1988||9 Oct 1990||John Sheahon||Cervical biopsy instrument|
|US5026383 *||14 Jun 1989||25 Jun 1991||Nobles Anthony A||Apparatus for in-situ cutting of valves within veins and method therefor|
|US5085659 *||21 Nov 1990||4 Feb 1992||Everest Medical Corporation||Biopsy device with bipolar coagulation capability|
|Patente citante||Fecha de presentación||Fecha de publicación||Solicitante||Título|
|US5249583 *||9 Nov 1992||5 Oct 1993||Vance Products Incorporated||Electronic biopsy instrument with wiperless position sensors|
|US5366463 *||5 Mar 1993||22 Nov 1994||Ryan William J||Atherectomy catheter for the removal of atherosclerosis from within blood vessels|
|US5458598 *||2 Dic 1993||17 Oct 1995||Cabot Technology Corporation||Cutting and coagulating forceps|
|US5471992 *||30 Ene 1995||5 Dic 1995||Boston Scientific Corporation||Multi-motion cutter multiple biopsy sampling device|
|US5542432 *||1 Feb 1994||6 Ago 1996||Symbiosis Corporation||Endoscopic multiple sample bioptome|
|US5569283 *||29 Mar 1995||29 Oct 1996||United States Surgical Corporation||Surgical cutting instrument with guarded blade|
|US5571130 *||4 Oct 1994||5 Nov 1996||Advanced Cardiovascular Systems, Inc.||Atherectomy and prostectomy system|
|US5573008 *||29 Oct 1993||12 Nov 1996||Boston Scientific Corporation||Multiple biopsy sampling coring device|
|US5601585 *||8 Feb 1994||11 Feb 1997||Boston Scientific Corporation||Multi-motion side-cutting biopsy sampling device|
|US5665062 *||23 Ene 1995||9 Sep 1997||Houser; Russell A.||Atherectomy catheter and RF cutting method|
|US5688270 *||18 Ene 1995||18 Nov 1997||Ethicon Endo-Surgery,Inc.||Electrosurgical hemostatic device with recessed and/or offset electrodes|
|US5709680 *||22 Dic 1994||20 Ene 1998||Ethicon Endo-Surgery, Inc.||Electrosurgical hemostatic device|
|US5779648 *||12 Mar 1997||14 Jul 1998||Boston Scientific Corporation||Multi-motion cutter multiple biopsy sampling device|
|US5797957 *||2 May 1996||25 Ago 1998||Symbiosis Corporation||Endoscopic bioptome with a hard stop to control biting force|
|US5810744 *||18 Nov 1997||22 Sep 1998||Boston Scientific Corporation||Instrument for collecting multiple biopsy specimens|
|US5823971 *||12 Nov 1996||20 Oct 1998||Boston Scientific Corporation||Multiple biopsy sampling coring device|
|US5830214 *||25 Oct 1996||3 Nov 1998||Heartport, Inc.||Fluid-evacuating electrosurgical device|
|US5840044 *||3 Abr 1996||24 Nov 1998||Boston Scientific Corporation||Multiple biopsy sampling forceps|
|US5871453 *||29 Ago 1996||16 Feb 1999||Boston Scientific Corporation||Moveable sample tube multiple biopsy sampling device|
|US5895361 *||14 Feb 1997||20 Abr 1999||Symbiosis Corporation||Esophageal biopsy jaw assembly and endoscopic instrument incorporating the same|
|US5897507 *||25 Nov 1996||27 Abr 1999||Symbiosis Corporation||Biopsy forceps instrument having irrigation and aspiration capabilities|
|US5944715||25 Nov 1996||31 Ago 1999||Gyrus Medical Limited||Electrosurgical instrument|
|US5951488 *||3 Dic 1996||14 Sep 1999||Symbiosis Corporation||Endoscopic multiple sample bioptome|
|US5961534 *||11 Feb 1997||5 Oct 1999||Boston Scientific Corporation||Multi-motion side cutting biopsy sampling device|
|US6004319||20 Jun 1996||21 Dic 1999||Gyrus Medical Limited||Electrosurgical instrument|
|US6013076||25 Oct 1996||11 Ene 2000||Gyrus Medical Limited||Electrosurgical instrument|
|US6015406||21 Ago 1996||18 Ene 2000||Gyrus Medical Limited||Electrosurgical instrument|
|US6027501||20 Jun 1998||22 Feb 2000||Gyrus Medical Limited||Electrosurgical instrument|
|US6039734 *||21 Oct 1996||21 Mar 2000||Gyrus Medical Limited||Electrosurgical hand-held battery-operated instrument|
|US6053877 *||17 Nov 1998||25 Abr 2000||Boston Scientific Corporation||Movable sample tube multiple biopsy sampling device|
|US6056746||27 Mar 1998||2 May 2000||Gyrus Medical Limited||Electrosurgical instrument|
|US6090106||26 Mar 1998||18 Jul 2000||Gyrus Medical Limited||Electrosurgical instrument|
|US6093186||18 Dic 1997||25 Jul 2000||Gyrus Medical Limited||Electrosurgical generator and system|
|US6123678 *||29 Oct 1997||26 Sep 2000||Symbiosis Corporation||Endoscopic bioptome with a hard stop to control biting force|
|US6136014 *||1 Sep 1998||24 Oct 2000||Vivant Medical, Inc.||Percutaneous tissue removal device|
|US6142956 *||3 Feb 1997||7 Nov 2000||Symbiosis Corporation||Proximal actuation handle for a biopsy forceps instrument having irrigation and aspiration capabilities|
|US6162216 *||2 Mar 1998||19 Dic 2000||Guziak; Robert Andrew||Method for biopsy and ablation of tumor cells|
|US6174292||24 Feb 1999||16 Ene 2001||Symbiosis Corporation||Biopsy forceps instrument having irrigation and aspiration capabilities|
|US6174308||26 May 1999||16 Ene 2001||Gyrus Medical Limited||Electrosurgical instrument|
|US6193715||19 Mar 1999||27 Feb 2001||Medical Scientific, Inc.||Device for converting a mechanical cutting device to an electrosurgical cutting device|
|US6210405||17 Jun 1997||3 Abr 2001||Gyrus Medical Limited||Under water treatment|
|US6234178||27 May 1999||22 May 2001||Gyrus Medical Limited||Electrosurgical instrument|
|US6261286||16 Oct 1998||17 Jul 2001||Gyrus Medical Limited||Electrosurgical generator and system|
|US6277114||18 Mar 1999||21 Ago 2001||Gyrus Medical Limited||Electrode assembly for an electrosurical instrument|
|US6293942||2 May 1996||25 Sep 2001||Gyrus Medical Limited||Electrosurgical generator method|
|US6306134||16 Oct 1998||23 Oct 2001||Gyrus Medical Limited||Electrosurgical generator and system|
|US6355033||16 Jul 1999||12 Mar 2002||Vivant Medical||Track ablation device and methods of use|
|US6364877||16 Oct 1998||2 Abr 2002||Gyrus Medical Limited||Electrosurgical generator and system|
|US6416509||26 Mar 1998||9 Jul 2002||Gyrus Medical Limited||Electrosurgical generator and system|
|US6461310||10 Jul 2000||8 Oct 2002||Symbiosis Corp||Endoscopic bioptome with a hard stop to control biting force|
|US6471709||24 Nov 1999||29 Oct 2002||Vivant Medical, Inc.||Expandable ring percutaneous tissue removal device|
|US6482202||10 Ene 2001||19 Nov 2002||Gyrus Medical Limited||Under water treatment|
|US6544194||22 Jun 2000||8 Abr 2003||Symbiosis Corporation||Proximal actuation handle for a biopsy forceps instrument having irrigation and aspiration capabilities|
|US6561988||20 Nov 2000||13 May 2003||Symbiosis Corporation||Endoscopic multiple sample bioptome with enhanced biting action|
|US6565561||3 Abr 2000||20 May 2003||Cyrus Medical Limited||Electrosurgical instrument|
|US6582426||6 Abr 2001||24 Jun 2003||Vivant Medical, Inc.||Needle kit and method for microwave ablation, track coagulation, and biopsy|
|US6626901||13 Ago 1999||30 Sep 2003||The Trustees Of Columbia University In The City Of New York||Electrothermal instrument for sealing and joining or cutting tissue|
|US6692445||16 Jul 2001||17 Feb 2004||Scimed Life Systems, Inc.||Biopsy sampler|
|US6780180||8 Mar 2000||24 Ago 2004||Gyrus Medical Limited||Electrosurgical instrument|
|US6832990||27 Ago 2002||21 Dic 2004||Symbiosis Corporation||Biopsy instrument having aspiration capabilities|
|US6840909||25 Mar 2002||11 Ene 2005||Acueity, Inc.||Apparatus and method for intraductal cytology|
|US6860880||12 Nov 2002||1 Mar 2005||The Trustees Of Columbia University In The City Of New York||Electrothermal instrument for sealing and joining or cutting tissue|
|US6908463||20 Abr 2001||21 Jun 2005||The Trustees Of Columbia University In The City Of New York||Electrothermal device for coagulating, sealing and cutting tissue during surgery|
|US6926676||16 Oct 2001||9 Ago 2005||Boston Scientific Scimed, Inc.||Biopsy instrument having irrigation and aspiration capabilities|
|US6962586||29 May 2002||8 Nov 2005||Afx, Inc.||Microwave ablation instrument with insertion probe|
|US6976986||5 Ene 2004||20 Dic 2005||Afx, Inc.||Electrode arrangement for use in a medical instrument|
|US7033352||18 Ene 2000||25 Abr 2006||Afx, Inc.||Flexible ablation instrument|
|US7052491||1 Abr 2002||30 May 2006||Afx, Inc.||Vacuum-assisted securing apparatus for a microwave ablation instrument|
|US7099717||3 Ene 2002||29 Ago 2006||Afx Inc.||Catheter having improved steering|
|US7115126||15 Abr 2002||3 Oct 2006||Afx Inc.||Directional microwave ablation instrument with off-set energy delivery portion|
|US7156841||14 Jul 2005||2 Ene 2007||Afx, Inc.||Electrode arrangement for use in a medical instrument|
|US7160292||1 May 2003||9 Ene 2007||Vivant Medical, Inc.||Needle kit and method for microwave ablation, track coagulation, and biopsy|
|US7192427||19 Feb 2003||20 Mar 2007||Afx, Inc.||Apparatus and method for assessing transmurality of a tissue ablation|
|US7197363||15 Oct 2002||27 Mar 2007||Vivant Medical, Inc.||Microwave antenna having a curved configuration|
|US7204811||7 Jul 2004||17 Abr 2007||Boston Scientific Miami Corporation||Proximal actuation handle for a biopsy forceps instrument having irrigation and aspiration capabilities|
|US7226446||12 Sep 2000||5 Jun 2007||Dinesh Mody||Surgical microwave ablation assembly|
|US7297121||13 Jun 2005||20 Nov 2007||Boston Scientific Scimed, Inc.||Biopsy instrument having irrigation and aspiration capabilities|
|US7301131||16 Feb 2006||27 Nov 2007||Afx, Inc.||Microwave ablation instrument with flexible antenna assembly and method|
|US7303560||24 Sep 2004||4 Dic 2007||Afx, Inc.||Method of positioning a medical instrument|
|US7314479||31 Oct 2003||1 Ene 2008||Parris Wellman||Space-creating retractor with vessel manipulator|
|US7346399||12 Nov 2004||18 Mar 2008||Afx, Inc.||Monopole tip for ablation catheter|
|US7347828||16 Oct 2001||25 Mar 2008||Boston Scientific Miami Corporation||Suction adapter for medical instrument|
|US7371236 *||20 Nov 2003||13 May 2008||Olympus Corporation||Diathermic cutter|
|US7387627||14 Sep 2005||17 Jun 2008||Maquet Cardiovascular Llc||Vacuum-assisted securing apparatus for a microwave ablation instrument|
|US7468042||27 Abr 2004||23 Dic 2008||Vivant Medical, Inc.||Localization element with energized tip|
|US7485092||18 Ene 2002||3 Feb 2009||Maquet Cardiovascular Llc||Vessel harvesting apparatus and method|
|US7534243||6 Jun 2003||19 May 2009||Maquet Cardiovascular Llc||Dissection and welding of tissue|
|US7618416 *||6 Oct 2004||17 Nov 2009||Olympus Corporation||High-frequency knife, endoscopic apparatus, and method of resecting lesioned mucosal part using high-frequency knife|
|US7647123||31 Oct 2007||12 Ene 2010||Oratec Interventions, Inc.||Method for treating intervertebral discs|
|US7695470||23 Jun 2003||13 Abr 2010||Maquet Cardiovascular Llc||Integrated vessel ligator and transector|
|US7833167||20 Mar 2007||16 Nov 2010||Boston Scientific Miami Corporation|
|US7846108||10 Dic 2008||7 Dic 2010||Vivant Medical, Inc.||Localization element with energized tip|
|US7938842||5 Oct 1999||10 May 2011||Maquet Cardiovascular Llc||Tissue dissector apparatus|
|US8016820||29 May 2009||13 Sep 2011||The Trustees Of Columbia University In The City Of New York||Electrothermal instrument for sealing and joining or cutting tissue|
|US8068921||29 Sep 2006||29 Nov 2011||Vivant Medical, Inc.||Microwave antenna assembly and method of using the same|
|US8075559||24 Mar 2010||13 Dic 2011||Maquet Cardiovascular, Llc||Apparatus and method for integrated vessel ligator and transector|
|US8187312||15 Oct 2007||29 May 2012||Neurotherm, Inc.||Method for treating intervertebral disc|
|US8226697||15 Oct 2007||24 Jul 2012||Neurotherm, Inc.||Method for treating intervertebral disc|
|US8292880||25 Nov 2008||23 Oct 2012||Vivant Medical, Inc.||Targeted cooling of deployable microwave antenna|
|US8425508 *||26 Dic 2007||23 Abr 2013||Olympus Corporation||Treatment device for cutting living tissue|
|US8425510||29 Sep 2009||23 Abr 2013||Jichi Medical University||Treatment instrument for endoscope including a sheath having a tapered portion at a distal end portion thereof|
|US8460331||22 Abr 2011||11 Jun 2013||Maquet Cardiovascular, Llc||Tissue dissector apparatus and method|
|US8551088||1 Abr 2009||8 Oct 2013||Applied Medical Resources Corporation||Electrosurgical system|
|US8562598||1 Abr 2009||22 Oct 2013||Applied Medical Resources Corporation||Electrosurgical system|
|US8568411||31 Mar 2009||29 Oct 2013||Applied Medical Resources Corporation||Electrosurgical system|
|US8579894||1 Abr 2009||12 Nov 2013||Applied Medical Resources Corporation||Electrosurgical system|
|US8690868||18 Dic 2006||8 Abr 2014||Covidien Lp||Needle kit and method for microwave ablation, track coagulation, and biopsy|
|US8753337||10 Abr 2008||17 Jun 2014||Olympus Corporation||Diathermic cutter|
|US8808282||5 Mar 2007||19 Ago 2014||Covidien Lp||Microwave antenna having a curved configuration|
|US8915910||1 Abr 2009||23 Dic 2014||Applied Medical Resources Corporation||Electrosurgical system|
|US8986335||10 Jun 2013||24 Mar 2015||Maquet Cardiovascular Llc||Tissue dissector apparatus and method|
|US9101367 *||2 Sep 2005||11 Ago 2015||Karl Storz Gmbh & Co. Kg||Medical instrument for dissecting tissue|
|US9307992 *||7 Dic 2012||12 Abr 2016||C.R. Bard, Inc.||Blood vessel transecting and anastomosis|
|US9320563||6 Feb 2012||26 Abr 2016||Applied Medical Resources Corporation||Electrosurgical instruments and connections thereto|
|US9333032||26 Oct 2011||10 May 2016||Covidien Lp||Microwave antenna assembly and method of using the same|
|US9566108||11 Nov 2013||14 Feb 2017||Applied Medical Resources Corporation||Electrosurgical system|
|US9700398||20 Feb 2015||11 Jul 2017||Maquet Cardiovascular Llc||Vessel harvester|
|US9730782||20 Feb 2015||15 Ago 2017||Maquet Cardiovascular Llc||Vessel harvester|
|US20030181823 *||25 Mar 2002||25 Sep 2003||Gatto Dominick L.||Apparatus and method for intraductal cytology|
|US20040210215 *||20 Nov 2003||21 Oct 2004||Olympus Corporation||Diathermic cutter|
|US20050072280 *||6 Oct 2004||7 Abr 2005||Olympus Corporation||High-frequency knife, endoscopic apparatus, and method of resecting lesioned mucosal part using high-frequency knife|
|US20060052808 *||2 Sep 2005||9 Mar 2006||Heinz Stammberger||Medical instrument for dissecting tissue|
|US20060116672 *||1 Nov 2005||1 Jun 2006||Dany Berube||Microwave ablation instrument with insertion probe|
|US20090024121 *||26 Dic 2007||22 Ene 2009||Olympus Corporation||Treatment device for cutting living tissue|
|US20090234347 *||29 May 2009||17 Sep 2009||The Trustees Of Columbia University In The City Of New York||Electrothermal instrument for sealing and joining or cutting tissue|
|US20090299217 *||1 Dic 2007||3 Dic 2009||Multi Biopsy Sampling Co. Aps||Sampling Apparatus for Taking a Number of Samples|
|US20100081872 *||29 Sep 2009||1 Abr 2010||Jichi Medical University||Treatment instrument for endoscope|
|US20100234843 *||24 Mar 2010||16 Sep 2010||Maquet Cardiovascular Llc||Apparatus and method for integrated vessel ligator and transector|
|US20110125054 *||24 Nov 2010||26 May 2011||Robert Clements||Device, system and method for multiple core biopsy|
|US20130096585 *||7 Dic 2012||18 Abr 2013||C. R. Bard, Inc.||Blood Vessel Transecting and Anastomosis|
|USD748259||29 Dic 2014||26 Ene 2016||Applied Medical Resources Corporation||Electrosurgical instrument|
|CN100333698C *||8 Oct 2004||29 Ago 2007||奥林巴斯株式会社||High-frequency knife and endoscopic apparatus|
|CN101365388B||12 Ene 2007||23 Mar 2011||多种活检标本有限责任公司||A sampling apparatus for taking a number of samples|
|EP1522269A1 *||6 Oct 2004||13 Abr 2005||Olympus Corporation||High-frequency knife and endoscopic apparatus|
|EP2168516A1 *||29 Sep 2009||31 Mar 2010||Jichi Medical University||Treatment instrument for endoscope|
|WO1995020914A1||17 Ene 1995||10 Ago 1995||Symbiosis Corporation||Endoscopic multiple sample bioptome|
|WO1998038935A1 *||5 Mar 1998||11 Sep 1998||The Trustees Of Columbia University In The City Of New York||Electrothermal device for sealing and joining or cutting tissue|
|WO1999059475A1||14 May 1999||25 Nov 1999||Boston Scientific Limited||Biopsy instrument having irrigation and aspiration capabilities|
|WO2007079754A1 *||12 Ene 2007||19 Jul 2007||Multi Biopsy Sampling Co. Aps||A sampling apparatus for taking a number of samples|
|Clasificación de EE.UU.||606/170, 606/171|
|Clasificación internacional||A61B18/00, A61B17/00, A61B10/00, A61B10/04, A61B18/14, A61B17/22|
|Clasificación cooperativa||A61B10/04, A61B10/02, A61B2017/00292, A61B17/32075, A61B18/1492, A61B18/1402, A61B2018/00196|
|Clasificación europea||A61B18/14V, A61B10/04, A61B17/3207P|
|14 Mar 1994||AS||Assignment|
Owner name: ST. PAUL FIRE AND MARINE INSURANCE COMPANY, MINNES
Free format text: MORTGAGE;ASSIGNOR:EVEREST MEDICAL CORPORATION;REEL/FRAME:006893/0711
Effective date: 19940218
|5 Abr 1994||CC||Certificate of correction|
|23 Jul 1996||REMI||Maintenance fee reminder mailed|
|16 Dic 1996||SULP||Surcharge for late payment|
|16 Dic 1996||FPAY||Fee payment|
Year of fee payment: 4
|11 Jul 2000||REMI||Maintenance fee reminder mailed|
|8 Dic 2000||FPAY||Fee payment|
Year of fee payment: 8
|8 Dic 2000||SULP||Surcharge for late payment|
Year of fee payment: 7
|12 Abr 2002||AS||Assignment|
Owner name: GYRUS MEDICAL, INC., MINNESOTA
Free format text: CHANGE OF NAME;ASSIGNOR:EVEREST MEDICAL CORPORATION;REEL/FRAME:012802/0936
Effective date: 20010405
|30 Jun 2004||REMI||Maintenance fee reminder mailed|
|15 Dic 2004||LAPS||Lapse for failure to pay maintenance fees|
|8 Feb 2005||FP||Expired due to failure to pay maintenance fee|
Effective date: 20041215